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目的 掌握妇产科急腹症的临床特点 ,可减少误诊率。方法 对我院从 2 0 0 0 -0 1～ 2 0 0 3 -0 1妇产科收治住院 615例患者的临床资料进行回顾性分析。结果 615例妇产科急腹症患者分为 9种病种五大类 :⑴腹腔急性内出血 5 71例占 93 % ;⑵感染性疾病 2 2例占 3 6% ;⑶盆腔肿瘤 4例占 0 7% ;⑷妊娠合并阑尾炎共 7例 ,合并急性胰腺炎 2例共占 1 5 % ;⑸误诊阑尾脓肿 ,黄体破裂 ,异位妊娠 7例占 1 1%。手术治疗 417例占 67 8% ,保守治疗 198例占 3 2 2 %。结论 明确妇产科急腹症诊断 ,减少误诊率 ,根据病情可选择不同的治疗方法 ,如部分异位妊娠通过保守治疗后治愈 ,减少了手术危险 ,保留了生殖功能。
Objective To observe the clinical features of obstetrics and gynecology acute abdomen can reduce the misdiagnosis rate. Methods The clinical data of 615 patients hospitalized in our department from 2000-2001 to 2.03-0.1 obstetrics and gynecology department were analyzed retrospectively. Results 615 cases of obstetrics and gynecology acute abdomen were divided into 9 categories of five categories: ⑴ acute intra-abdominal bleeding in 71 cases accounted for 93%; ⑵ infectious diseases in 32 cases accounted for 36%; ⑶ 4 cases of pelvic tumors accounted for 0 7 %; ⑷ pregnancy complicated with appendicitis in 7 cases, with acute pancreatitis in 2 cases accounted for 15%; ⑸ misdiagnosed appendix abscess, luteal rupture, ectopic pregnancy in 7 cases accounted for 11%. Surgical treatment of 417 cases accounted for 67.8%, conservative treatment of 198 cases accounted for 32.2%. Conclusion Obstetrics and gynecology acute abdomen diagnosis clear, reduce the misdiagnosis rate, according to the disease can choose different treatment methods, such as part of ectopic pregnancy cured by conservative treatment, reducing the surgical risk and retain the reproductive function.